Rural Health Transformation Program - Before-School Physical Education Classes is sponsored by Department of Health and Human Services (North Dakota). This program provides funding to middle and high schools in North Dakota to hold 30-45 minute aerobic exercise classes in the morning before school starts. Cheerleading programs that incorporate aerobic exercise could be eligible.

North Dakota Association of Counties - NDACo News Counties Urged to Explore Rural Health Transformation Grants Image related to Counties Urged to Explore Rural Health Transformation Grants Rural Health Transformation Program (RHTP) Grants Now Available Quick Turnaround Deadlines Set Mary Korsmo | NDSACCHO Executive Director North Dakota Health and Human Services (NDHHS) has announced several new RHTP grant opportunities.

Counties are encouraged to check out these grant opportunities to explore if there are projects in their county that could be a fit for the funding. North Dakota was awarded $199 million year one of the five-year program. Future awards will be hinged on the success of the grant applications and awards in 2026.

Below is a summary of the available grants. Further details can be found at: https://www. hhs.

nd. gov/rural-health-transformation/funding . Zero-Hour Physical Education (PE) Initiative (Make North Dakota Healthy Again) Deadline to apply: May 22, 2026, at 5:00pm CT Funding eligibility is restricted to North Dakota’s rural and tribal, public and private schools, regional education associations and/or school consortiums.

Technical Assistance Conference Call: May 4 at 3:30pm CT Approximately $700,000 in year one, estimated 10 awards of roughly $70,000 each Community Gardens Project (Make North Dakota Healthy Again) Deadline to apply: May 22, 2026, at 5:00pm CT Funding eligibility is open to leaders of North Dakota’s rural and tribal communities, including but not limited to 4-H youth development programs, civic groups, municipalities, tribal councils, tribal colleges, tribal health departments, health care facilities, senior centers, worksites, public health units, schools, Head Start programs, cultural centers, after-school programs, Boys and Girls Clubs of America, communities of faith and nonprofit organizations.

Technical Assistance Conference Call: May 5 at 3:00pm CT Approximately $300,000 in year one, estimated 10 awards of roughly $30,000 each Community-Based Walking Program (Make North Dakota Healthy Again) Deadline to apply: May 22, 2026, at 5:00pm CT Funding eligibility is restricted to North Dakota’s rural and tribal communities.

Groups that are encouraged to apply include, but are not limited to, tribal programs/tribal partners, hospitals, cultural centers, communities of faith, municipalities, chambers of commerce, Boys and Girls Clubs of America, parks and recreation, libraries, nonprofit organizations, public health units, civic groups and community centers.

It is also conceivable that an entire community could join to apply for one of these grants with many of the groups listed above partnering together to deliver this program.

Technical Assistance Conference Call: May 6 at 3:00pm CT Approximately $2,500,000 in year one, estimated 20 awards of roughly $125,000 each Behavioral Health Promotion Community Grants (Make North Dakota Healthy Again) Deadline to apply: May 29, 2026, at 5:00pm CT Applicants may include hospitals, clinics and home care providers; tribes and tribal health organizations; other health care providers; local public health units; political subdivisions (including law enforcement agencies such as police and sheriff departments); nonprofit organizations; education systems (K-12 public and private schools, regional education associations, higher education institutions, Area Health Education Center, etc.); community organizations (faith-based entities, libraries, youth programs and coaches, etc.); child care providers.

Technical Assistance Call: May 7, 2-2:45pm CT Approximately $1,600,000 is available in year one, estimated 10 awards of roughly $160,000 each Expand Rural Health Care Rotations (Strengthen and Stabilize Rural Health Workforce) Deadline to apply: May 15, 2026, at 5:00pm CT Eligible applicants may include hospitals, clinics and home care providers; long-term care facilities; behavioral health providers; tribes and tribal health organizations, excluding Indian Health Services; emergency medical services providers; other health care providers; local public health; non-profit organizations; education systems.

Technical Assistance Call: May 7, Noon-12:45pm CT Approximately $3,000,000 in year one, estimated 15 awards of roughly $200,000 each Train In Place (Strengthen and Stabilize Rural Health Workforce) Deadline: May 15, 2026, at 5:00pm CT Eligible applicants may include hospitals, clinics, and home care providers; long-term care facilities; behavioral health providers; tribes and tribal health organizations, excluding Indian Health Services; emergency medical services providers; other health care providers; local public health; non-profit organizations; education systems.

Technical Assistance Call: May 6, Noon-12:45pm CT Approximately $2,025,000 in year one, estimated 15 awards for roughly $135,000 each Rightsizing Health Care Delivery Systems for the Future: Rural Federally Qualified Health Centers and Critical Access Hospitals (Bringing High Quality Care Closer to Home) Deadline: May 22, 2026, at 5:00pm CT Funding eligibility entities include rurally located critical access hospitals (CAHs) and their owned and operated clinics; rurally located federally qualified health centers (FQHCs) and their owned and operated clinics; one application per system can be submitted.

Technical Assistance Call: May 7, 11-11:45am CT Approximately $2,310,000 in year one, estimating 42 awards of $40,000 each Ensuring Safety Net Service Delivery (Bringing High Quality Care Closer to Home) Deadline: May 29, 2026, at 5:00pm CT Applicants must serve rural or tribal North Dakota residents and may include hospitals, clinics and home care providers; long-term care facilities; behavioral health providers; tribes and tribal health organizations; emergency medical services providers; other health care providers; transportation providers; local public health; nonprofit organizations; education systems; community organizations.

Technical Assistance Call: May 8, Noon-12:45pm CT Approximately $15,000,000 in year one, estimated 50 awards roughly $300,000 each Applicable to each grant opportunity : The technical assistance call will be recorded and posted on the RHTP webpage for later viewing. Additional resources related to this funding announcement, including Frequently Asked Questions (FAQs) will also be published on the RHTP webpage after the call.

All funds must be fully expended by September 30, 2027. All application components must be submitted through Qualtrics. The Federally created RHTP administered by CMS is a five-year program to improve rural health care access, quality, and sustainability.

North Dakota’s application focused on four initiatives: Strengthen and Stabilize Rural Health Workforce; Make North Dakota Healthy Again; Bring High-Quality Health Care Closer to Home; and Connect Technology, Data and Providers for a Stronger ND. The first grant application was released on March 18, 2026, due April 30, 2026, and made available to the Critical Access Hospitals.

The local public health units self-organized into 13 regional service groups and have small contracts currently under review. Additionally, contracts to provide community coordination and technical assistance have been issued to North Dakota’s eight regional councils. Application notices for the Connecting Technology, Data and Providers for a Stronger ND pillar are coming soon.

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